BNS Form No.
4
Philippine Plan of Action for Nutrition
                                                                                BNS ACCOMPLISHMENT REPORT
                                                                                       1st Semester, 20
Province:                                               City/ Municipality:          Barangay:                            Name of BNS:
                                           Activity and Target group                       Target    January   February       March      April   May   June   Total
 A. GROWTH MONITORING ACTIVITIES
       a. Full Weighing (OPT+)
           All children 0-59 mos. old (Total population (TP) x (10.714%))
       b. Monthly reweighing and height monitoring
           All children, 0-23 months old (TP x 4.11%)
           Underweight children 0-59 months old (based on OPT data)
            Severely underweight children 0-59 months old (based on OPT data)
           Wasted children 0-59 months old (based on OPT data)
           Severely wasted children 0-59 months old (based on OPT data)
           Overweight children 0-59 months old (based on OPT data)
           Obese children 0-59 months old (based on OPT data)
           Severely stunted children 0-59 months old (based on OPT data)
       c. Semestral reweighing and height monitoring
           Children, 24-59 mos. old (TP x 6.587 %)
 B. NUTRITION SPECIFIC PROGRAMS
  1. Infant and Young Child Feeding (IYCF)
       a. Refer for breastfeeding or lactation counseling
           Lactating mothers
       b. Counseling on breastfeeding and complementary feeding
           Pregnant women
           Lactating mothers
           Mother with acutely malnourished children 0-59 months old
       c. Assist in organizing IYCF community support group
       d. Other activities, specify
       -
       -
  2. Integrated Management of Acute Malnutrition
       a. Assist in case finding
       b. Refer cases to In-patient therapeutic care (ITC)
            Severe acute malnutrition (SAM) cases with medical complication
                                          Activity and Target group                                  Target   January   February   March   April   May   June   Total
    c.     Refer cases to out-patient therapeutic care (OTC)
           SAM cases without medical complication
     d.    Refer cases to supplementary feeding
           Moderate acute malnutrition (MAM) cases
     e.    Assist in operations of out-patient therapeutic care (OTC) and supplementary feeding of
           MAM and SAM cases without medical complication
3. Dietary Supplementation
     a. Refer cases
          Underweight pregnant women
          Other pregnant women
          Infant 6-23 months
          Other groups, specify
     b. Assist in dietary supplementation activities
          Underweight pregnant women
          Other pregnant women
          Infant 6-23 months
          Other groups, specify
4. National Promotion Program for Behavior Change
      a. Conduct nutrition education classes (Idol ko si Nanay, Pabasa sa Nutrisyon, cooking
            demonstrations, etc.)
            Mothers or caregivers of children 0-23 months old
            Mothers or caregivers of children 24-59 months old
            Other mothers
            Pregnant women
            Fathers or other male members of the family
            Other groups, specify
     b.     Do home visits for nutriution counseling and follow-up
            Mothers or caregivers of children 0-23 months old
            Mothers or caregivers of wasted (SAM or MAM) children 0-59 months old
            Mothers or caregivers of moderately or severely underweight children 0-59 months old
            Mothers or caregivers of stunted children 0-59 months old
            Mothers or caregivers of overweight or obese children 0-59 months old
            Pregnant women
                                         Activity and Target group                                Target   January   February   March   April   May   June   Total
5. Micronutrient Supplementation
    a. Assist in administration of vitamin A supplement
          Children 6-59 months old
          Post-partum mothers
          Measles cases
    b. Assist in iron-folic acid supplementation, including follow-up home visits to check on
          actual use
          Pregnant women
    c. Assist in distribution of multiple micronutrient powder, including follow-up home visits
          to check on actual use
          Children 6-23 months old
    d. Assist in distribution of iodized oil capsules (if available)
          Women of reproductive age
           Pregnant women
6. Mandatory food fortification
    a. Promotion on the use of iodized salt
          General population
    b. Assist in monitoring the sales of iodized salt where salt is sold
          Market
          Grocery/supermarket
          Sari-sari Store
          Eating places
7. Nutrition in Emergencies
    a. Assist in rapid assessment
          Evacuees with children 0-59 months old
    b. Assist in distribution of Vitamin A capsules
          Children 6-59 months old
    c. Refer cases of SAM and MAM
          As Identified
    d. Assist in OTC
          As needed
    e. Assist in supplementary feeding of MAM cases
          As needed
    f. Assist in following up SAM and MAM cases
          As needed
                                       Activity and Target group                              Target   January   February   March   April   May   June   Total
    g.  Conduct counseling in infant and young child feeding
        As needed
    h. Conduct nutrition education
        As needed
    i.  Other activities, specify
        As needed
8. Overweight and Obesity Management and Prevention Program
    a. Refer cases to service provider
        Overweight and obese children 0-59 months old
    b. Assist in weight management intervention
        Overweight and obese children 0-59 months old
    c. Assist in promoting healthy environment
    d. Other activities, Specify
C. NUTRITION SENSITIVE PROGRAM
1. Home, school and community food production
     a. Refer to programs and projects that distribute seeds, seedlings, other planting
           Materials and other small animals.
           Families with pregnant women
           Families with children 0-23 months old
           Families with wasted and severely wasted children 0-59 months old
           Other families
         -
     b. Assist in distributing seeds, seedlings, other planting materials and small animals
           Families with pregnant women
           Families with children 0-23 months old
           Families with wasted and severely wasted children 0-59 months old
           Other families
     c. Establishn own home garden
     d. Assist in establishing community food garden
2. Livelihood assistance
     a. Refer to programs and projects
           1.) Providing credit assistance or seed capital
              Families with pregnant women
                                          Activity and Target group    Target   January   February   March   April   May   June   Total
            Families with children 0-23 months old
            Families with wasted children 0-59 months old
            Families with stunted children 0-59 months old
            Other specify
       2.) Providing material support for income generating projects
            Families with pregnant women
            Families with children 0-23 months old
            Families with wasted children 0-59 months old
            Families with stunted children 0-59 months old
            Other specify
           -
           -
       3.) Providing training support for income enerating projects
            Families with pregnant women
            Families with children 0-23 months old
            Families with wasted children 0-59 months old
            Families with stunted children 0-59 months old
            Other specify
           -
           -
3. Water, Sanitation and Hygiene
    a. Refer to programs and projects on
        1.) Distribution of sanitary toilets
            Families with pregnant women
            Families with children 0-23 months old
            Families with wasted children 0-59 months old
            Families with stunted children 0-59 months old
            Other specify
           -
           -
                                            Activity and Target group                             Target     January   February   March    April   May   June   Total
           2.) Improving access to safe drinking water
               Families with pregnant women
               Families with children 0-23 months old
               Families with wasted children 0-59 months old
               Families with stunted children 0-59 months old
               Other specify
              -
              -
      b. Campaign for zero open defecation
            Community
      c. Others, specify
              -
              -
 4. Population Management
      a. Assist in the promotion of responsible parenthood, including family planning
      b. Assist in activities to prevent teen-age pregnancy
 C. ENABLING PROGRAMS
 1. Assist in resource generation/fund raising for nutrition projects of the barangay
 2. Attend meetings
      a. BNC meetings
      b. BNS-D/NPC meetings
 1. Assist in organizing/reorganizing barangay nutrition committee
 F. OTHER ACTIVITIES ( Please specify)
 Remarks by supervisor (D/CNPC or C/MNAO)
                                               Name and Signature                                                                         Date
Prepared by:
Date:
BNS Form No. 4
Philippine Plan of Action for Nutrition
                                                                                        BNS ACCOMPLISHMENT REPORT
                                                                                2nd Semester, 20
Province:                                               City/ Municipality:     Barangay:                          Name of BNS:
                                           Activity and Target group                  Target       July   August     September    October   November   December   Total
 A. GROWTH MONITORING ACTIVITIES
       1. Full Weighing (OPT+)
           All children 0-59 mos. old (Total population (TP) x (10.714%))
      2. Monthly reweighing and height monitoring
           All children, 0-23 months old (TP x 4.11%)
           Underweight children 0-59 months old (based on OPT data)
            Severely underweight children 0-59 months old (based on OPT data)
           Wasted children 0-59 months old (based on OPT data)
           Severely wasted children 0-59 months old (based on OPT data)
           Overweight children 0-59 months old (based on OPT data)
           Obese children 0-59 months old (based on OPT data)
           Severely stunted children 0-59 months old (based on OPT data)
       3. Semestral reweighing and height monitoring
           Children, 24-59 mos. old (TP x 6.587 %)
 B. NUTRITION SPECIFIC PROGRAMS
  1. Infant and Young Child Feeding (IYCF)
       a. Refer for breastfeeding or lactation counseling
           Lactating mothers
       b. Counseling on breastfeeding and complementary feeding
           Pregnant women
           Lactating mothers
           Mother with acutely malnourished children 0-59 months old
       c. Assist in organizing IYCF community support group
       d. Other activities, specify
       -
       -
  2. Integrated Management of Acute Malnutrition
       a. Assist in case finding
       b. Refer cases to In-patient therapeutic care (ITC)
            Severe acute malnutrition (SAM) cases with medical complication
Activity and Target group   Target   July   August   September   October   November   December   Total
    c.     Refer cases to out-patient therapeutic care (OTC)
           SAM cases without medical complication
     d.    Refer cases to supplementary feeding
           Moderate acute malnutrition (MAM) cases
     e.    Assist in operations of out-patient therapeutic care (OTC) and supplementary feeding of
           MAM and SAM cases without medical complication
3. Dietary Supplementation
     a. Refer cases
          Underweight pregnant women
          Other pregnant women
          Infant 6-23 months
          Other groups, specify
     b. Assist in dietary supplementation activities
          Underweight pregnant women
          Other pregnant women
          Infant 6-23 months
          Other groups, specify
4. National Promotion Program for Behavior Change
      a. Conduct nutrition education classes (Idol ko si Nanay, Pabasa sa Nutrisyon, cooking
            demonstrations, etc.)
            Mothers or caregivers of children 0-23 months old
            Mothers or caregivers of children 24-59 months old
            Other mothers
            Pregnant women
            Fathers or other male members of the family
            Other groups, specify
     b.     Do home visits for nutriution counseling and follow-up
            Mothers or caregivers of children 0-23 months old
            Mothers or caregivers of wasted (SAM or MAM) children 0-59 months old
            Mothers or caregivers of moderately or severely underweight children 0-59 months old
            Mothers or caregivers of stunted children 0-59 months old
            Mothers or caregivers of overweight or obese children 0-59 months old
            Pregnant women
                                        Activity and Target group                                    Target   July   August   September   October   November   December   Total
5. Micronutrient Supplementation
    a.    Assist in administration of vitamin A supplement
          Children 6-59 months old
          Post-partum mothers
          Measles cases
    b. Assist in iron-folic acid supplementation, including follow-up home visits to check on
          actual use
          Pregnant women
    c. Assist in distribution of multiple micronutrient powder, including follow-up home visits
          to check on actual use
          Children 6-23 months old
    d. Assist in distribution of iodized oil capsules (if available)
          Women of reproductive age
           Pregnant women
6. Mandatory food fortification
    a. Promotion on the use of iodized salt
          General population
    b. Assist in monitoring the sales of iodized salt where salt is sold
          Market
          Grocery/supermarket
          Sari-sari Store
          Eating places
7. Nutrition in Emergencies
    a. Assist in rapid assessment
          Evacuees with children 0-59 months old
    b. Assist in distribution of Vitamin A capsules
          Children 6-59 months old
    c. Refer cases of SAM and MAM
          As Identified
    d. Assist in OTC
          As needed
    e. Assist in supplementary feeding of MAM cases
          As needed
    f. Assist in following up SAM and MAM cases
          As needed
                                        Activity and Target group                                 Target   July   August   September   October   November   December   Total
    g.   Conduct counseling in infant and young child feeding
         As needed
    h.  Conduct nutrition education
        As needed
    i.  Other activities, specify
        As needed
8. Overweight and Obesity Management and Prevention Program
    a. Refer cases to service provider
        Overweight and obese children 0-59 months old
    b. Assist in weight management intervention
        Overweight and obese children 0-59 months old
    c. Assist in promoting healthy environment
    d. Other activities, Specify
C. NUTRITION SENSITIVE PROGRAM
1. Home, school and community food production
     a. Refer to programs and projects that distribute seeds, seedlings, other planting
           Materials and other small animals.
           Families with pregnant women
           Families with children 0-23 months old
           Families with wasted and severely wasted children 0-59 months old
           Other families
         -
     b. Assist in distributing seeds, seedlings, other planting materials and small animals
           Families with pregnant women
           Families with children 0-23 months old
           Families with wasted and severely wasted children 0-59 months old
           Other families
     c. Establishn own home garden
     d. Assist in establishing community food garden
2. Livelihood assistance
     a. Refer to programs and projects
           1.) Providing credit assistance or seed capital
              Families with pregnant women
                                         Activity and Target group                            Target   July   August   September   October   November   December   Total
            Families with children 0-23 months old
            Families with wasted children 0-59 months old
            Families with stunted children 0-59 months old
            Other specify
       2.) Providing material support for income generating projects
            Families with pregnant women
            Families with children 0-23 months old
            Families with wasted children 0-59 months old
            Families with stunted children 0-59 months old
            Other specify
           -
           -
       3.) Providing training support for income enerating projects
            Families with pregnant women
            Families with children 0-23 months old
            Families with wasted children 0-59 months old
            Families with stunted children 0-59 months old
            Other specify
           -
           -
3. Water, Sanitation and Hygiene
    a. Refer to programs and projects on
        1.) Distribution of sanitary toilets
            Families with pregnant women
            Families with children 0-23 months old
            Families with wasted children 0-59 months old
            Families with stunted children 0-59 months old
            Other specify
           -
           -
                                        Activity and Target group      Target   July   August   September   October   November   December   Total
        2.) Improving access to safe drinking water
           Families with pregnant women
           Families with children 0-23 months old
           Families with wasted children 0-59 months old
               Families with stunted children 0-59 months old
               Other specify
              -
              -
      b. Campaign for zero open defecation
            Community
      c. Others, specify
              -
              -
 4. Population Management
      a. Assist in the promotion of responsible parenthood, including family planning
      b. Assist in activities to prevent teen-age pregnancy
 C. ENABLING PROGRAMS
 1. Assist in resource generation/fund raising for nutrition projects of the barangay
 2. Attend meetings
      a. BNC meetings
      b. BNS-D/NPC meetings
 1. Assist in organizing/reorganizing barangay nutrition committee
 F. OTHER ACTIVITIES ( Please specify)
 Remarks by supervisor (D/CNPC or C/MNAO)
                                               Name and Signature                       Date
Prepared by:
Date: